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Detailed Retina Drawing and Evaluation, Initial

Illinois rates for HCPCS 92225

This covers a detailed hand-drawn or documented examination of the back of the eye, focused on the retina, performed with pupil dilation and specialized lenses. It is used to closely evaluate conditions such as a retinal tear, detachment, or a suspicious growth, going beyond a routine eye exam. This is the version performed as the first evaluation of the condition being tracked.

Rates data updated July 2026.

How much rates vary

Professionalmedian $48 · 10th to 90th $17 to $102
$20.0$50.0$100.0professional $48

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$22.91
Typical High
$125.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$47.86
Typical High
$60.26